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Question: I saw a recent article in the New York Times that discussed, among other things, physicians subletting their or other doctors’ offices. The story had a real estate focus, though, and d... More

NPP Report

Recent changes mandated by Congress and CMS that boost the status of physician assistants (PA) — or physician associates, as some groups prefer — is another sign that the providers formerl... More

Benchmark of the Week

Physicians and advanced practice providers (APP) readily made the switch to reporting telehealth services based on the patient’s location in 2024, the first year it was mandatory for Medicare pa... More

Ask a Part B News Expert

Question: I saw a recent article in the New York Times that discussed, among other things, physicians subletting their or other doctors’ offices. The story had a real estate focus, though, and d... More

NPP Report

Recent changes mandated by Congress and CMS that boost the status of physician assistants (PA) — or physician associates, as some groups prefer — is another sign that the providers formerl... More

Benchmark of the Week

Physicians and advanced practice providers (APP) readily made the switch to reporting telehealth services based on the patient’s location in 2024, the first year it was mandatory for Medicare pa... More

More on medical practice subleasing: 'Timeshare' and 'per-use' arrangements

by: Roy Edroso

You're invited to speak at Billing & Compliance, Advanced Specialty Coding Summits

by: Richard Scott

The list of ASM participants is out. Are you in?

by: Julia Kyles, CPC

Update to the list of designated health services – 2026

Find the latest list of designated health services (DHS) that are subject to the Stark physician self-referral rule’s restriction on referrals. The new list went into effect Jan. 1, 2026.

Current and new descriptors for 21 CPT codes – 2026

Get a head start on revisions to codes in the E/M, cardiovascular, radiology and medicine chapters of the 2026 CPT Manual. The following chart contains the current and revised long descriptors for codes that CMS released in the proposed 2026 Medicare physician fee schedule and intends to assign an active (A) payment status

E/M claims shows smooth switch to new telehealth reporting rule

Physicians and advanced practice providers (APP) readily made the switch to reporting telehealth services based on the patient’s location in 2024, the first year it was mandatory for Medicare patients. However, a review of Medicare Part B claims data shows that some providers started to use place of service 10 (Telehealth provided in patient’s home) when it became available for Medicare billing effective April 1, 2022.

Denial rates mostly up on top 59-appended codes

Of the top 15 codes that practices reported with modifier 59 (Distinct procedural service), only a handful saw positive movement in denial rates between 2023 and 2024, and lesion-destruction codes once again fronted the list.

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